Goss, Bryan W
Goss, Bryan W is an individual health care provider with primary practice located at 455 Saint Michaels Dr , Santa Fe NM 87505-7601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Goss, Bryan W can be contacted via phone (505) 913-5233.Contact Information
Primary practice address
455 Saint Michaels Dr
Santa Fe NM 87505-7601
Phone: (505) 913-5233
Fax: (505) 913-6466
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 2004-0235 | New Mexico |
Profile Details
| NPI number | 1124021233 |
|---|---|
| LBN Legal business name | Goss, Bryan W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Jan 23rd, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124021233 | NPPES |
| New Mexico | MEDICAID | 32751575 |
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